Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David Jan Moore, MD

Individual provider Emergency Medicine Physician · NPI 1114389780

David Jan Moore, MD is an Emergency Medicine in Bronx, New York. Qualified in 2016, 10 years ago. Practices with Ellenville Emergency Medical Associates PLLC, an 8-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6015 Tyndall Ave
Bronx, NY 10471-1812
Phone: (718) 764-3556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 297052 (NY)

Record details

NPI number1114389780
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2016
Last updated in NPPESJanuary 6, 2020
Certification dateJanuary 6, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Ellenville Emergency Medical Associates Pllc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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